HomeMy WebLinkAboutL 12747 P 365
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/04/2013
Number of Pages: 3 At: 04:39:02 PM
Receipt Number : 13-0127160
TRANSFER TAX NUMBER: 13-06610 LIBER: D00012747
PAGE: 365
District: Section: Block: Lot:
1000 040.01 01.00 032.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $125.00 NO
TP-584 $5.00 NO Notation
$0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $250.00
TRANSFER TAX NUMBER: 13-06610
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
Number of pages 1013 Oct. 04 04:39:02 PM
JUDITH R. PASC:RLE
CLERK; OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00912747
Social Security Numbers
GT# !3-06 510
prior to recording.
Deed / Mor tgage Instrument Deed / Mortgage Tax Stamp Recording/ Filing Stamps
3 FEES
Page/ Filing Fee Mortgage Amt.
~ S
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Spec./Assit.
Notation F
1 or
EA-52 17 (County) S ~ Sub Total Spec. /Add.
EA-5217 (State) TOT. MTG. TAX
Dual Town Dual County
R.P.T.S.A. O Held for Appointment
Comm. of Ed. 5. 00 a Transfer Tax
Affidavit • Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total U YES or NO
Other
Grand Total rJ-sD - If NO, see appropriate tax clause on
page of this instrument.
t . 8s I s--71
4 Dist. 1000 13026563 1000 04001 0100f 032000 5 Community Preservation Fund
Real Property R SMI IIIIIII IIII IIIIIIIIIIIIIIII IIIIIIIIIIII VIII Consideration Amount $
Tax Service 27SEP-1 II II! lo-
Agency CPF Tax D $
Verification
I m proved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
TD / J
Nancy Burner & Associates, PC
TD
12 Research Way
East Setauket, NY 11733 TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Title #
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Helen 0 Cox The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In theTOWN of Southold
Susan Bounasera and Patricia R. Haar, as Trustee In the VILLAGE
of the Helen O Cox Irrevocable Trust or HAMLET of GMennort
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Quitclaim Deed-Individual or Corporation (single sheet) ~1
THIS INDENTURE, made the' flay of August, two thousand thirteen
BETWEEN
HELEN Q. COX
1035 Caleb's Way, Unit 32
Greenport, New York 11944
party of the first part, and
SUSAN C. BUONASERA, 301 East 21 st Street. Apt 9H, New York, NY 10010 and
PATRICIA R. HAAR, 300 Bullet Hole Road, Patterson, NY 12563
As TRUSTEES OF THE HELEN Q. COX IRREVOCABLE TRUST
party of the'second part,
W ITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by
the party of the second party, does hereby grant and release unto the parry of the second part, the heirs or successors and
assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of real property, with the buildings and improvements therein contained, situate,
lying and being at Greenport, Town of Southold, County of Suffolk and State of New York, being known and
designated as Unit 32 as shown and laid out on a certain map entitled. "Map of Moores land" filed in the Office of the
Clerk of the County of Suffolk on December 22, 1994 as Condominium Map No. 257, together with a 5.0% interest in
the common elements of the Condominium described in the Declaration of Condominiums recorded in Liber 11894
page 534.
BEING AND INTENDED TO BE the same premises as conveyed to the party of the first part by deed dated March 13,
2000 and recorded on April 4, 2000 in the Office of the Clerk of the County of Suffolk in Liber 12032 at Page No. 229.
TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting
the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and
rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted
unto the parry of the second part, the heirs or successors and assigns of the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the
said premises have been encumbered in any way whatever, except as aforesaid.
AND the party of the first part in compliance with Section 13 of the Lien Law, covenants that the parry of the first part
will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to
be applied First for the purpose of paying the cost of the improvement and will apply the same first to the payment of the
cost of the improvement before using any part of the total of the same for any other purpose.
The word "party" shalt be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written.
In Presence of:
J,
H LEN Q. q 6x
i
STATE OF NEW YORK, COUNTY OF SUFFOLK SS.: STATE OF NEW YORK, COUNTY OF SS.:
On the 0'?-~ day of August, 2013, before me, the undersigned, On the day of 2013, before me, the undersigned,
personally appeared HELEN Q. COX, personally known to me or personally appeared , personally known to me
proved to me on the basis of satisfactory evidence to be the or proved to me on the basis of satisfactory evidence to be the
individual(s) whose name(s) is (are) subscribed to the within individual(s) whose name(s) is (are) subscribed to the within
instrument and acknowledged to me that he/she/they executed the instrument and acknowledged to me that he/she/they executed the
same in his/her/their capacity(ies), and that by his/her/their same in his/her/their capaciry(ies), and that by his/her/their
signature(s) on the instrument, the individual(s), or the person signature(s) on the instrument, the individual(s), or the person
upon behalf of which the individual(s) acted, executed the upon behalf of which the individual(s) acted, executed the
instrument. instrument.
notary
notary NANCY BURNER
Public, State of New York '
No. 02BU4946981
ualifed in Suffolk County
rrunission Expires February 6, f7l5' STATE OF NEW YORK, COUNTY OF SS.:
STATE OF NEW YORK, COUNTY OF SS.:
On the day of 200 , before me, the undersigned,
On the day of 2013, before me personally came personally appeared , the subscribing
to me known, who being by me duly witness to the foregoing instrument, with whom I am personally
sworn, did depose and say that he resides at No. acquainted, who being by me duly sworn, did depose and say that
, that he is the he/she/they reside(s) in
of the (if the place of residence is in a city, include the street and street
corporation described in and which executed the foregoing number, if any, thereof) that he/sheAhey know(s)
instrument; that he knows the seal of said corporation; that the to be the individual described in and who executed
seal affixed to said instrument is such corporate seal; that it was so the foregoing instrument; that said subscribing witness was present
affixed by order of the board of directors of said corporation, and and saw said execute the same; and that said
that he signed h name thereto by like order. witness at the same time subscribed his/her/their name(s) as
witness thereto.
notary
notary
QUITCLAIM DEED
SECTION 040.01
BLOCK 01.00
HELEN Q. COX LOT 032.000
TO COUNTY OR TOWN SUFFOLK
SUSAN C. BUONASERA and PATRICIA R. HAAR, as
TRUSTEES OF THE HELEN Q. COX IRREVOCABLE TRUST
RETURN BY MAIL TO:
Nancy Burner & Associates, PC
12 Research Way
E. Setauket, New York 11733
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-5217-INS): www.orps.statemy.us
FOR COUNTY USE ONLY . -7 .
C1. SWIS Code 14, New York State Department of
/ Taxation and Finance
C2. Data Deed Recorded Office of Real Property Tax Services
stein y 'VW '
RP- 5217
CS. Book C4. Page Real Property Transfer Report (8110)
PROPERTY INFORMATION
1
I. Property
Location
G.re~r, r~- 1 t
GTY ON TOWN
n R VILLPff ZIP CODE'
2. Buyer !1 \~8a~ ~1~ ~Q~ r i C k CL fli . )A a Qf' C's I
Name mAS r r Fiat t~
S. Tax Indicate where leture Tax Bills are to be sent
Billing it While Then buyer address (at bottom of form)
Address
STREF.TNUm AND STREET I ORTOW I ATE l 23PCODE
4. Indicate the number of Assessmerd ? (Only If Part of a Parcel) Check as they apply:
Roil pormho tmnsbrred on the deed I _ Ape of Parcels OR Pan of a Parcel
4A. Planning Board with Subdivision Authority Exists ?
5. Deed I 40. Subdivision Approval was Required for Transfer ?
Property I
SW FRONTFEU % DEEP'. OR 4C. Parcel Approved for Subdivision With Map Provided ?
r~
e. Seller I r P Y~ V! I
Name LAyTTuNtruxr T
l I I
~Txam:t~m Net NAME
T. Check the boa below which most accurately describes the we cif the property at the floe of sale: Check the boxes below as they apply: r
S. Ownership Type rs Condominium rJIILr~-J-~I
1 Community Service 9. Now Construction on Vacant Land
S 2 or 3 Family Residential F Commercial J Industrial 1 OA. Property Located within an Agricultural District
A Ono Family Resid nto F Agricultural
?
C Residential Vacant Land G Apartment K Pudic Service 10131. Buyer received a discbstmro notice Indicating I-I
D Nan-Residential Vacant Land I I Entertainment I Amusement L Forest that the property Is in an Agricultural District -J
SALE INFORMATION 15. Chock one or more of these Conditions as applicable to transfer:
11. solo Contract Dab I x /x, I A Sale Between Relatives or Former Relatives
Lail, D Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12. Dale of Selo / Transfer D Buyer or Seller is Government Agency or Lending Institution
Month ay I ed Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or Less than Fee Interest ( Specify Below )
19. Full Salo Pdca G Significanl Change in Property Between Taxable Stabs and Selo Dates
• 0 • U H Sale of Business is Included In Selo Price
( Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Salo Prior ( Specify Below 1
This payment may be In the form of cash, other property or goods, or the assumption of j None
mortgages or other obligations.) Pfease roundb me rmamsl whole darer amown. \ l
14. Indicate the value of personal L Q Q I - ~
property Included In the sale 9-v--
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
which Information 16. Year iontaken ken from I 11T Total Assessed Value (of all parcels In trensfer)I _ -I e[, 1 1
y ~•••h-~-
19. Property Class s'^~- ADOLJ 19. school Dbtrlet Name I C~C'~:n ~_~!r J
20. Tax Map Identifier(s)! Roll Idsntnlar(s) (If more than four, attach sheet with additional ldentme"s))
I IZM ^ o~Ep - rn ? -o 1 rv o - 31x;13 ~
L I I
CERTIFICATION
1 certhr that all of the Itmm at Information ou tore l an this form m trim and correct (to the beet of rhgr knowledge and bellen and 1 understand teat the making at mhy willful
false atahnmnt of matwbl het heroin will Subject nth to the ereelelaes at the venal law rlatlw to Un making and gang at below Instrmm ants.
/ • SELLER SIGNATURE BUYER CONTACT INFORMATION
/ti--m (Enter inaRnwbon he the M.yar. New: If buvar b I.I.C. -.1y, owtodmid:. ="Ston. toile sled,
C-7j1 I 1 carnoany. mime ar entry to is THE an utliuidual apem or fd-a•y. San a mime Sntl coned Inron Wn
_ of an ndividuTSrespanbn pant' who can woraw quamms regarding ma trmahr must be emwW.
s MexATU ntTE Type er print alearty.)
BUYER SIGNATURE p
FIRST
BUYER SNp1Al1lE PATE HrvrvAAAGGG
/
BUYER'S ATTORNEY AREA CODE TELEPIKMNLAwhtN
lA4T NAIL IRST MME
Ct q -_ZkA_Z JTRECT NUMSkR STREET NAME
AREA CODE TELEPHONE NUMBER` T I \ \ v~ 11. 19 4
NEW YORK STATE CITY 01tSOp/`~~ STATE xrvcGDC f
COPY